Abstract

DIAZ MONSALVE, Luz Ever. Strategic monitoring: a participative methodology for health care. av.enferm. [online]. 2014, vol.32, n.1, pp.139-146. ISSN 0121-4500.  https://doi.org/10.15446/av.enferm.v32n1.46075.

Introduction: Monitoring strategic is a methodology characterized by considering health like an historical and social process influenced by micro and macro determinants that promotes community participations and informal social control in health management. It is composed by three subsystems that we can develop in five moments Objective: Analyze theoretical assumptions and methodologies of strategic monitoring in health care and propose methodological moments inspired by research and experience care in sexual and reproductive health with adolescents Methodology: Quantitative study conducted between 2005 and 2008 in an educational institution from Bello, Antioquia, which aimed to describe epidemiological profile of sexual and reproductive health from adolescents. Sample of 233 teens surveyed selected by simple random sampling and 9 focus groups. We found that 11% had a history of maternity/paternity, 58 % of these pregnancies ended in abortion and 2.1% had suffered from sexually transmitted infection. The academic community prioritizes the need for sex education project to improve this situation, which motivates the development of strategic monitoring process that led to an appreciable results in the academic community and drastic decrease sexual education in school pregnancies. Conclusions: Monitoring is a methodology for health care that believes that building community is possible, though it is not easy because it requires time, patience and resources to guide individuals to work together for a common interest, fruit are durable while not dependent on the health care team to manage their welfare and protection life.

Keywords : Monitoring; Social Control; Informal; Consumer Participation.

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